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44 Cards in this Set
- Front
- Back
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What are the two general arthritic types?
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Hypertrophic- more bone
Atrophic- bone is reduced |
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what is the most common arthritis?
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Hypertrophic arthrities or
"DJD" Degenerative Joint disorder (along with gouty arthritis) |
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What are microfractures in the joints called?
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Fibrullations
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What are the subjective findings with osteoarthrities?
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Hurts
Tender Crepitus Limited movment |
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What are objective radiological findings with osteoarthritis?
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Joint space narrowing
Joint surface flattening Hyper dense (sclerotic) Osteophytes (bone Spurs x2) Exostoses, joint mice Lipping- spurring on the dorsal aspect of a joint Dorsal flag- lipping at the first Eburnation Suc chondral sclerosis Ankylosing |
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What are the major joint changes found in Osteoarthritis?
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Joint space narrowing,
Joint surface flattening Joint mice Anklosing |
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What are the damages surrounding a joint in an individual with Osteoarthritis?
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Lipping- spurring on the dorsal aspect of a joint
Dorsal flag- lipping at the first Osteophytes- |
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what is the difference between Heberden's nodes and Bouchard's nodes?
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Heberden's nodes are at the DIPJ
Bouchard is at the PIPJ |
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What is the type of Atrophic artritis listed in lecture?
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RA
Atrophic means reduced density |
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What are the major characteristics of RA? (based on this lecture)
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Polyarticular- hits mutlipe joints
-symmetrical and bilateral causes sever dislocations that can cause digit lesions under the Met heads |
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What is the difference in RA and Osteoarthritis?
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RA-Polyarticular- hits mutlipe joints
-symmetrical and bilateral causes sever dislocations that can cause digit lesions under the Met heads Osteoarthritis hits one or two joints randomly |
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What are the characteristics of Juxta- Articular Erosions?
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Occur with RA
occur usually on the medial side cause a FIBULAR deviation |
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You should know subluxation vs dislocation by now.
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subluxation is a % offset
Dislocated is 100% offset or 0% located |
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What are the characteristics of gouty arthritis?
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Hypertrophic type
-redness -inflammation -increased blood flow to the area -bone leeching at certain stages -After many attacks it will cause bone thickening |
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What are the joint etiologies in gouty arthritis?
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Earlyon the joint will have greater effusion- this is when you want to do an arthrocentesis
Later there will be jiong narrowing. |
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What are some radiological findings with Gouty arthritis?
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Punched out lesions and
overhanging margins Martel's sign Advanced- Joint destruction |
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What are the common characteristics of Reactive arthritis?
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It is a seronegative arthritidy- has to do with HLAB27
-conjunctivis -urethritis -sacroiliitis -Skin conditions (check for STD) |
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What is different about the heel spur in individuals with reactive arthritis?
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It is a fluffy heel spur, whereas the regular one is "sharp"
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What are the steps of ankylosing spondylitis?
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Vertebral squaring with shining corners
Syndesmophytes leads to Bony bridging Final- Bamboo spine |
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What are the two etiologies that lead to "fluffy heel spur"?
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Ankylosing spondylitis and reactive arthritis
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what are the signs of Psoriatic arthritis?
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-Rash
-Digit Pain -Terminal whittling of proximal bone- Pencil in cup -Sausage toe |
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How can you tell regular erosions of the toe joints vs gouty "punched out' lesions of the toe joints?
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Erosions look like punched out lesions but gout doesn't usually hit the lesser toe joints.
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At what point is an individual considered to have arthritis mutilans?
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When the joint subluxation causes them to lose function in the extremity.
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Where do we usually see sausage toe?
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W/ Seronegatives, primarily psoriatic arthritis
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Arthritis Mutilans
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Bamboo Spine
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Big Arrow - Syndesmophytes of Ankylosing Spondylitis
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Bony Bridging Ankylosing Spondylitis
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Distal Heberden Proximal Bouchard
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Dorsal Flag
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Fluffy Heel Spur
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Fluffy heel spurs
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Ghost bone osteoporosis
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Got a bad case of da gout
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Gouty Punched out lesions with some overhanging margins
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Hypertrophic Degenerative Joint Disorder (Osteoarthritis)
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Joint mouse osteoarthritis
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Martels sign
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Osteoarthritis Joint space narrowing- not gout (no chunks out)
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Osteoarthritis Joint surface flattening
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Overhanging margins
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Pencil in Cup- Terminal whittling of proximal bone
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Psoriatic Erosions- NOT gout
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Stupid A$$ pirate jokes!
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